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  1.  
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  5.                                  O R D E R   F O R M
  6.                                                                   Gen-7.34
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  8.  
  9.            TO:  BLACKBEARD                              Date____/____/____
  10.                 PO Box 638
  11.                 San Bernardino, CA 92402
  12.  
  13.  
  14.  
  15.  
  16.          From:  Name _______________________________________________________
  17.  
  18.                 Address ____________________________________________________
  19.  
  20.                 City __________________________ State ________ Zip _________
  21.  
  22.                 Area Code (______)  Phone __________________________________
  23.  
  24.  
  25.  
  26.                      REGISTRATION FEE------   EACH-------   EXTENDED-
  27.  
  28.                      "BLACKBEARD"   editor      $   20.00       _______
  29.                       includes free gift and
  30.                       latest version
  31.  
  32.                      Foreign Postage                 5.00       _______                                          --------
  33.  
  34.                      Site License (right to copy only)
  35.                        10 Copies                $  100.00
  36.                        100 Copies               $  500.00
  37.                        Unlimited Copies         $  900.00
  38.  
  39.                                                 Total          $_______
  40.  
  41.                      ALLOW SIX TO EIGHT WEEKS FOR SHIPPING (worst case)
  42.  
  43.  
  44.                 --------------------- User comments ----------------------
  45.  
  46.                 I learned about BLACKBEARD from
  47.                    [ ] - Friend                    [ ] - Software product
  48.                    [ ] - Computer Club             [ ] - Computer Store
  49.                    [ ] - Data Base Service         [ ] - PC-SIG
  50.                    [ ] - Source                    [ ] - IBM/NET
  51.                    [ ] - Site license              [ ] - Other
  52.                    [ ] - Public Brand Software
  53.  
  54.                 Comments or suggestions: ___________________________________
  55.                 ____________________________________________________________
  56.                 ____________________________________________________________
  57.                 ____________________________________________________________
  58.  
  59.                 problems:___________________________________________________
  60.                 ____________________________________________________________
  61.                 ____________________________________________________________
  62.                 ____________________________________________________________
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